| NPI | 1093220303 |
|---|---|
| Other Name | ROBERT C. BYRD CLINIC - RUPERT |
| Entity Type | Organization |
| Authorized Contact | SCOT MITCHELL CEO 304-647-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 36604) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2021-05-13 |