| NPI | 1508137241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WEINBERGER Credentialing COO Rdinator 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |