Organization
ISLAND MEDICAL BLUEFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN DE LA PRIDA (CFO)
(330) 656-9511
Entity
Organization
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1771
Mailing address
PO BOX 74622, CLEVELAND, OH 44194-0002
(330) 656-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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