| NPI | 1326476839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STEPHEN LOVE Medical Doctor/Owner 304-964-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 22407) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2015-07-10 |