| NPI | 1518062876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ARTHUR MULLINS Officer 304-425-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2086S0129X Surgery, Vascular Surgery | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-07-16 |