| NPI | 1275901910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE REBECCA SMITH Owner 304-222-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 20A13991) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |