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1275008856
APPALACHIAN ADDICTION MEDICAL PLLC
LOGAN, WV
NPI
1275008856
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Entity Type
Organization
Authorized Contact
EMAD MOUSA
Owner/Physician
304-896-5200
Organization Subpart ?
No
Primary Taxonomy
207LA0401X Anesthesiology, Addiction Medicine
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
APPALACHIAN ADDICTION MEDICAL PLLC
77 HOSPITAL DRIVE SUITE 100 KRUGER BUILDING
LOGAN, WV 25601
Phone number: 304-896-5200
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Mailing Address
APPALACHIAN ADDICTION MEDICAL PLLC
77 HOSPITAL DRIVE SUITE 100 KRUGER BUILDING
LOGAN, WV 25601
Phone number: 304-896-5200
Copy
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