| NPI | 1467538967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HOUSEHOLDER Office Manager 304-267-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 19369) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-11-17 |