| NPI | 1538347943 |
|---|---|
| Doing Business As | PETERSBURG MEDICAL GROUP II |
| Entity Type | Organization |
| Authorized Contact | LARRY C ROGERS Owner 304-257-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-08-19 |