Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Oct 16, 2006
License(s)
16132 (WV)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 714960 | Columbus, OH 43271-4960 | 205-322-1808 |
| LOCATION | 1340 HAL GREER BLVD | Huntington, WV 25701-3800 | 205-322-1808 |
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