Organization
OCCUPATIONAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E WISEMAN (DIVISION CONTROLLER)
(540) 536-4310
Entity
Organization
Contact information
Practice address
97 ADMINISTRATIVE DR, MARTINSBURG, WV 25404-6378
(304) 350-3200
(304) 350-3201
Mailing address
PO BOX 3548, WINCHESTER, VA 22604-2563
(540) 536-3391
(540) 536-3379
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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