| NPI | 1558119081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |