| NPI | 1477717700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN LEVINE Owner, Physician 304-525-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1789) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |