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Individual

DR. EDWARD JAMES PRIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, PT, DPT

Contact information

Practice address
661 THIRD STREET, NEW MARTINSVILLE, WV 26155
(304) 455-6824
(304) 455-6825
Mailing address
661 THIRD STREET, NEW MARTINSVILLE, WV 26155
(304) 455-6824
(304) 455-6825

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
656
WV
225100000X
Physical Therapist
2547
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0312277000
WV
Enumeration date
10/26/2006
Last updated
04/01/2011
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