Organization
INNOVATIVE WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A LEONARD (CREDENTIALING MANAGER)
(412) 279-4522
Entity
Organization
Contact information
Practice address
1902 RIVER ROAD, APOLLO, PA 15673
(724) 478-5361
(724) 479-2930
Mailing address
1902 RIVER ROAD, N APOLLO, PA 15673
(724) 478-5361
(724) 479-2930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044592E
PA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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