Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 1, 2006
License(s)
13100 (WV)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2520 VALLEY DR | Point Pleasant, WV 25550-2031 | 304-675-4340 |
| MAILING | PO BOX 840 | Lima, OH 45802-0840 | 877-574-7116 |
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