Provider First Line Business Practice Location Address:
601 HOLDEN RD
Provider Second Line Business Practice Location Address:
LOGAN REGIONAL CANCER CENTER
Provider Business Practice Location Address City Name:
LOGAN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25601-3477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-831-2500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2007