Provider First Line Business Practice Location Address:
200 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPENCER
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-927-4444
Provider Business Practice Location Address Fax Number:
304-927-6807
Provider Enumeration Date:
10/07/2006