Organization
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Active
Other names
NAPCK Nurse Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
3675 N BEND RD, HEBRON, KY 41048-8465
(859) 334-7587
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
08/15/2022
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