| NPI | 1083162739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES BETO President 304-282-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 17895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 17895) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: WV 20557) | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-08-06 |