| NPI | 1225067317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A MUSCARI President 304-294-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: WV 05207) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-07-12 |