NPI | 1548018062 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-05-09 |
Last Update Date | 2025-04-08 |