| 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 |