| NPI | 1316025760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY DALE FOSTER Medical Director/Partner 304-267-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WV 19418-23067) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-07-09 |