Organization
CHIROPRACTIC PHYSICIANS OF WEST VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA TALLEDO (BILLING MANAGER)
(614) 801-1307
Entity
Organization
Contact information
Practice address
1101 HOSPITAL DR, SUITE 201, HURRICANE, WV 25526-8711
(304) 757-4515
(304) 757-4517
Mailing address
3683 GARDEN CT, GROVE CITY, OH 43123-2906
(614) 801-1307
(614) 277-3503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
785
WV
Other
Enumeration date
02/08/2007
Last updated
04/30/2008
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