| NPI | 1295169217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA GARTON Billing Manager 304-932-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 20498) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |