| NPI | 1346420148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HENRY HORNER Owner 304-363-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: WV 13530) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |