| NPI | 1447313564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON A MILLER President Physician 304-599-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WV 193400000X) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2022-05-12 |