| NPI | 1548338536 |
|---|---|
| Doing Business As | ELK MEMORIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN C FORESTER Chief Executive Officer 304-624-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-01-08 |