| NPI | 1245651207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D ANDERSON Owner 740-236-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.063586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 14185) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |