NPI | 1275562373 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL A MUSCARI President 304-294-4880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WV 1691) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-01 |
Last Update Date | 2010-07-12 |