| NPI | 1275810830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOSEPH RYAN President 304-260-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 21393) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-02-07 |