Organization
HUNTINGTON OPHTHALMOLOGY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA C BLOM M.D. (PRESIDENT/OWNER)
(304) 522-8311
Entity
Organization
Contact information
Practice address
1508 6TH AVE, HUNTINGTON, WV 25701-2902
(304) 522-8313
Mailing address
1508 6TH AVE, HUNTINGTON, WV 25701-2902
(304) 522-8313
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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