NPI | 1275619728 |
---|---|
Entity Type | Organization |
Authorized Contact | R DAVID ALLARA Owner / President 304-926-0955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: WV 14971) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-08-22 |