| NPI | 1265606974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ARTHUR MULLINS Owner 304-425-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WV 19244) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-18 |