| NPI | 1174881916 |
|---|---|
| Other Name | WEST VIRGINIA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID W JUDY Owner 304-925-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WV 2596) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2020-01-06 |