| NPI | 1023449055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN BLAINE NEASE M.D. 304-399-4121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WV APRN72536NP) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |