| NPI | 1063663896 |
|---|---|
| Doing Business As | APPALACHIAN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SEAN C. DI CRISTOFARO President 304-757-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 19679) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV dp00454495) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |