| NPI | 1396182101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L RHODES CEO 304-252-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 196) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WV 14016) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-07 |