| NPI | 1083656516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TODD DEPOND Owner 304-345-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WV 16935) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |