| NPI | 1205357506 |
|---|---|
| Doing Business As | CENTRA HEALTH PHYSICIAN PROVIDER GROUP |
| Entity Type | Organization |
| Authorized Contact | JOE Z KOONS Managing Director Revenue Cycle 434-200-4758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |