Organization
ALPHA MEDICAL GROUP LLC
Active
Other names
Alpha Addiction Advocates Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD Y MOUSA MD (DIRECTOR)
(412) 680-6497
Entity
Organization
Contact information
Practice address
1043 HARDING MEMORIAL PKWY, MARION, OH 43302-6315
(740) 383-4090
(740) 383-2850
Mailing address
PO BOX 119, LOGAN, WV 25601-0119
(304) 896-5200
(304) 896-5300
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2873029
—
OH
Enumeration date
03/14/2016
Last updated
12/06/2023
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