Provider First Line Business Practice Location Address:
ANTONINI OCULAR PROSTHETICS, LLC
Provider Second Line Business Practice Location Address:
WVU EYE INSTITUTE, 1 MEDICAL CENTER DRIVE
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-594-0719
Provider Business Practice Location Address Fax Number:
304-241-1858
Provider Enumeration Date:
02/03/2012