| NPI | 1093150468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J YORK Physician 304-667-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA S4522894) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |