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TRI-STATE ALLERGY, INC

Allergy

Huntington, West Virginia

Provider NPI: 1902906019

Organization Information:
Organization Name:  TRI-STATE ALLERGY, INC


Practice Location:
1001 20TH STREET  HUNTINGTON, WV 25703 US
Tel: 304-529-6100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy

Other Provider Identifiers:

IssuerNumberStateType
0011693000WV05
64694763KY05
L0874442OH05
0070510000WV05
L0968403OH05
L0489556OH05
0044083000WV05
64698772KY05
659300083KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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