NPI | 1407072663 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNESTO H AGBAYANI Doctor 304-596-6911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 19905) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2013-04-15 |