NPI | 1407034887 |
---|---|
Doing Business As | MVA FAIRVIEW CLINIC |
Entity Type | Organization |
Authorized Contact | NANCY L VANDERGRIFT President 304-367-8740 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2008-02-07 |
Last Update Date | 2008-10-28 |