| NPI | 1164399606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP Of Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |