| NPI | 1053583575 |
|---|---|
| Doing Business As | RANDY L WARREN MD |
| Entity Type | Organization |
| Authorized Contact | RANDY L WARREN Owner/Member 304-766-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 21827) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |