| NPI | 1093425266 |
|---|---|
| Doing Business As | VALLEY HEALTH PEA RIDGE FOR FFS |
| Entity Type | Organization |
| Authorized Contact | MARY-BETH N. BRUBECK VP Of Finance / CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |