| NPI | 1295392140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE PIERSON CFO/Authorized Official 304-424-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |