NPI | 1154558260 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL G. SITLER President 304-756-1492 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 19963) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |