Provider First Line Business Practice Location Address:
2900 FIRST AVENUE FIRST FLOOR
Provider Second Line Business Practice Location Address:
THE CENTER FOR PAIN RELIEF TRI STATE PLLC
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:
304-526-8384
Provider Business Practice Location Address Fax Number:
304-526-1951
Provider Enumeration Date:
07/04/2006