NPI | 1518964857 |
---|---|
Doing Business As | UNIVERSITY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | PAMELA LOVINS Credentialing Specialist 304-691-1640 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2005-07-01 |
Last Update Date | 2022-07-21 |