| NPI | 1215785563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |