Organization
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Active
Other names
Toyota Family Heatlh Center WV OCC
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1 SUGAR MAPLE LANE, BUFFALO, WV 25033-0001
(304) 937-7426
(304) 937-7427
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(877) 865-9013
(304) 937-7427
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
08/15/2022
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