NPI | 1174593065 |
---|---|
Entity Type | Organization |
Authorized Contact | WILBUR Z SINE President 304-599-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 103T00000X Psychologist |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology Psychiatry | |
363A00000X Physician Assistant | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2008-02-14 |