| NPI | 1497030498 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | CAROLINE E JOE Medical Director 304-596-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WV 2257-1472) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |