NPI | 1033206263 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY THOMAS BOWDEN President And Owner 304-720-2345 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-09 |
Last Update Date | 2022-10-04 |