| NPI | 1225382831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WARREN NOLAN Owner/ Physician 304-675-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 19111) |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2012-11-04 |