ICP WEST VIRGINIA LLC

BLUEFIELD, WV
NPI1134698798
Entity TypeOrganization
Authorized ContactMATTHEW JACKSON
Authorized Official
813-746-3993
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2018-11-13
Last Update Date2018-11-13
Business Address
ICP WEST VIRGINIA LLC
500 CHERRY ST
BLUEFIELD, WV 24701-3306
Phone number: 304-327-1100
Mailing Address
ICP WEST VIRGINIA LLC
PO BOX 671281
DALLAS, TX 75267-1281
Phone number: 813-746-3993
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