| NPI | 1548260763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S MEYERS President 304-422-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-07-21 |