| NPI | 1245423821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWEY F BENSENHAVER Owner 304-257-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV wv09657) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-01-23 |