NPI | 1356783682 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELIZABETH MCKELVEY Physician 681-238-5947 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 15767) |
Enumeration Date | 2013-07-29 |
Last Update Date | 2013-10-02 |