Provider First Line Business Practice Location Address:
3 HOSPITAL PLAZA
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPT
Provider Business Practice Location Address City Name:
CLARKSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-233-2455
Provider Business Practice Location Address Fax Number:
304-233-6073
Provider Enumeration Date:
01/16/2007