| NPI | 1235275579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY M BRODNIK President 304-327-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 1566) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-03-05 |