| NPI | 1063663433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE D NORMAN CFO 740-454-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207T00000X Neurological Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208VP0000X | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2021-03-01 |