| NPI | 1518273507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN SPENCER Chief Financial Officer 304-487-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2022-05-31 |