| NPI | 1184721581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG BENTZ CEO 304-927-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 74) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 74) |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine (Licence: WV 74) | |
| 207R00000X Internal Medicine (Licence: WV 74) | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: WV 74) | |
| 208000000X Pediatrics (Licence: WV 74) | |
| 208600000X Surgery (Licence: WV 74) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-01-16 |