| NPI | 1194932590 |
|---|---|
| Doing Business As | WVUPC INTERNAL MEDICINE (PAASGRP) |
| Entity Type | Organization |
| Authorized Contact | TERRY MILLER Provider Relations Analyst 304-293-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 3200990000) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-06-20 |