Tony K. Virgin

NPI 1265603799 - Clinic/Center - 261QD0000X

NPI Details
NPI 1265603799
Enumeration Date 03/12/2008
Last Updated 03/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TONY K. TONY
Position OWNER
Phone (304) 697-1511
Fax (304) 697-2267
Practice Location
420 11TH ST
HUNTINGTON WV, 25701, US
Phone (304) 697-1511
Fax (304) 697-2267
Business Location
420 11TH ST
HUNTINGTON WV, 25701, US
Phone (304) 697-1511
Fax (304) 697-2267
Toxanomy
Taxonomy Code 261QD0000X
License State West Virginia
License Number 3171
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According to our database, Tony K. Virgin NPI is 1265603799, taxonomy code is 261QD0000X and license number is 3171, license state is located at West Virginia. Tony K. Virgin physically located at 420 11th St, Huntington WV, 25701. NPI Number 1033115704 has the healthcare provider type.

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1265603799 NPI number is provided on an as is basis without warranty of any kind. 1265603799 is maintained by the National Plan & Provider Enumeration System. The contents of Tony K. Virgin are for informational purposes only.