| NPI | 1104263631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYAM B STOLL CEO 304-523-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: WV 9A021) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |