| NPI | 1174581938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W KLAY President 304-243-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-02-12 |