Organization
FAMILY MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY POLING D.O. (MEMBER)
(304) 255-2527
Entity
Organization
Contact information
Practice address
25 MALLARD CT, BECKLEY, WV 25801
(304) 255-2527
(304) 255-5675
Mailing address
25 MALLARD CT, BECKLEY, WV 25801-3664
(304) 255-2527
(304) 255-5675
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1002-2421
WV
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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