TRI-STATE ALLERGY INC NPI 1902906019

NPI Information

TRI-STATE ALLERGY, INC is an allergy allergy immunology in Huntington, WV. TRI-STATE ALLERGY, INC NPI is 1902906019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 20TH STREET
HUNTINGTON, WV
ZIP 25703
Phone: (304) 529-6100
Fax: (304) 529-0229

The provider's authorized official is Matthew C Wilson .
The authorized official title is President Owner and has the following contact phone number (304) 529-6100.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 9/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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