| NPI | 1043222961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA JANE ARVON Administrator,Cpa 304-353-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: WV 00848) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-01-11 |