Provider First Line Business Practice Location Address:
31ST ST MEDICAL CLINIC
Provider Second Line Business Practice Location Address:
410 31ST ST
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-525-9100
Provider Business Practice Location Address Fax Number:
304-525-4402
Provider Enumeration Date:
01/26/2006