Organization
INTEGRATIVE CENTERS SCIENCE AND MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL BOAZ (PRESIDENT)
(276) 632-4276
Entity
Organization
Contact information
Practice address
315 HOSPITAL DR, SUITE 206, MARTINSVILLE, VA 24112-1945
(276) 632-4276
(276) 632-6355
Mailing address
315 HOSPITAL DR, SUITE 206, MARTINSVILLE, VA 24112-1945
(276) 632-4276
(276) 632-6355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101241213
VA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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