NPI 1184705907
Crab Orchard Medical Assoc. INC.
Practice location
- Address
- 1769 Robert C Byrd Dr, Crab Orchard, WV 25827-1602
- Phone
- (304) 253-8336
- Fax
- (304) 253-8337
- Mailing address
- PO Box 1602, Crab Orchard, WV 25827-1602
Authorised official
- Name
- Mariza a Lirio
- Title
- Vice President
- Phone
- (304) 253-8336
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Urology Physician
Registry record
- NPI
- 1184705907
- Entity type
- Organization
- NPI issued
- 18 Oct 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.