Organization
ASSOCIATED SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI LEE POWELL RHIT (OFFICE MANAGER)
(304) 933-3800
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DR STE 204, BRIDGEPORT, WV 26330-9009
(304) 933-3800
(304) 933-3815
Mailing address
527 MEDICAL PARK DR STE 204, BRIDGEPORT, WV 26330-9009
(304) 933-3800
(304) 933-3815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55-0532650
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076674000
—
WV
05
—
0080399000
—
WV
05
—
0092785001
—
WV
05
—
0128388000
—
WV
05
—
0640002000
—
WV
05
—
2006875000
—
WV
05
—
3810000654
—
WV
05
—
3810016091
—
WV
05
—
3810022789
—
WV
05
—
3810023280
—
WV
05
—
3810023284
—
WV
05
—
3810023285
—
WV
05
—
3810023454
—
WV
Enumeration date
12/09/2013
Last updated
12/09/2013
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