| NPI | 1093931255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E BOWEN Doctor 304-264-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WV 12922) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |