NPI | 1427040351 |
---|---|
Doing Business As | WARDENSVILLE MEDICAL SERVICES |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER L HAHN Administrator 304-822-8134 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 15226) |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: WV 15226) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2010-03-03 |