| 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 | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |