Organization
SALUTIS EMERGENCY SPECIALIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL M. LARUSSO (MANAGING AGENT)
(304) 264-1000
Entity
Organization
Contact information
Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Mailing address
PO BOX 1150, MARTINSBURG, WV 25402-1150
(304) 264-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
04/30/2010
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