Organization
PEDIATRIC LUNG & ASTHMA CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALIA B SOTOMAYOR VALENZUELA M.D. (PEDIATRIC PULMONOLOGIST/OWNER)
(304) 284-8999
Entity
Organization
Contact information
Practice address
1284 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
(304) 284-8999
(304) 284-9777
Mailing address
1284 SUNCREST TOWNE CENTRE DR., MORGANTOWN, WV 26505-1828
(304) 284-8999
(304) 284-9777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22524
WV
174400000X
Specialist
Primary
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162849
UPIN
WV
05
—
3910006278
—
WY
Enumeration date
10/30/2014
Last updated
03/07/2023
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