| NPI | 1265921175 |
|---|---|
| Doing Business As | THE WELL PHOENIX COTTON CENTER |
| Entity Type | Organization |
| Authorized Contact | BRETT GALL Director Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |