Organization
OCCUPATIONAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W. CRAIG II M.D. (OWNER)
(304) 522-7268
Entity
Organization
Contact information
Practice address
4552 ROUTE 152, LAVALETTE, WV 25535-1180
(304) 522-7268
(304) 525-5539
Mailing address
PO BOX 1180, LAVALETTE, WV 25535-1180
(304) 522-7268
(304) 525-5539
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
18116
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558328179
INDIVIDUAL NPI #
WV
Enumeration date
08/05/2006
Last updated
08/22/2020
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