| NPI | 1467820449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A PROCTOR CEO 304-525-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WX0800X Registered Nurse, Orthopedic (Licence: WV 60256) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: OH 398466) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |