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E J Salon MD INC

Internal Medicine in Beckley, WV. Organization (NPI-2).

NPI number1699819219
StatusActive
Last updated in NPPESJun 10, 2008

Details

NPI
1699819219
Entity type
Organization (NPI-2)
Legal business name
E J Salon MD INC
Organization subpart
No
Enumeration date
Feb 16, 2007
Last updated
Jun 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine18381WVYes

Practice location

200 Raleigh Ave
Beckley, WV 25801-5944

Phone 304-252-8541 · Fax 304-253-2507

Mailing address

200 Raleigh Ave
Beckley, WV 25801-5944

Phone 304-252-8541 · Fax 304-253-2507

Authorized official

Ely J Salon
Prsident
3042528541

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