NPI 1275008856

Appalachian Addiction Medical PLLC

Organisation Addiction Medicine (Anesthesiology) Physician Logan, WV

Practice location

Address: 77 Hospital Drive Suite 100 Kruger Building, Logan, WV 25601
Phone: (304) 896-5200
Fax: (304) 896-5300

Authorised official

Name: Emad Mousa
Title: Owner/Physician
Phone: (304) 896-5200

Registered specialties

Addiction Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LA0401X

Other Anesthesiology providers in West Virginia →

Registry record

NPI: 1275008856
Entity type: Organization
NPI issued: 10 Oct 2018
Record last updated: 10 Oct 2018

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.