Organization
EYE AND EAR CLINIC PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA JANE ARVON (ADMINISTRATOR,CPA)
(304) 353-0303
Entity
Organization
Contact information
Practice address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 353-0222
(304) 353-0218
Mailing address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 353-0222
(304) 353-0218
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
00848
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001157004
—
WV
Enumeration date
08/12/2006
Last updated
01/11/2012
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