Organization
WV ASTHMA AND ALLERGY CENTERS, INC.
Active
Other names
Asthma & Allergy Center, Asthma and Allergy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON C TRUSTY (ADMINISTRATOR)
(304) 343-4300
Entity
Organization
Contact information
Practice address
418 GRAND PARK DR, SUITE 326, PARKERSBURG, WV 26105-4000
(304) 422-1400
(304) 422-1402
Mailing address
208 MACCORKLE AVE SE, CHARLESTON, WV 25314-1160
(304) 343-4300
(304) 343-5473
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
11875
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011961
—
WV
Enumeration date
01/04/2008
Last updated
04/13/2020
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