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 |