| NPI | 1376504423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S POWERS Owner 304-865-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-03-19 |