| NPI | 1164023677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN J COLLIER Owner 740-574-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2022-11-17 |