| 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 | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2025-04-08 |