| NPI | 1477702553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN MCDANIEL Provider Relations Supervisor 304-293-5033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |