| NPI | 1164593745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND EDWARD HENSHAW President 304-424-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 17162) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |