| NPI | 1124194220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LARENCE LASKER Physician 304-327-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV wv10952) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |