| NPI | 1124073481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOCKHART Assistant Office Manager 304-487-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-05-31 |