| NPI | 1205038650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SHULTZ Resident Ophthalmology 304-293-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |