| NPI | 1174372056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |