NPI | 1457339277 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL WRIGHT Practice Administrator 304-522-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
2085R0204X Radiology, Vascular & Interventional Radiology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
Enumeration Date | 2006-01-03 |
Last Update Date | 2024-04-12 |