| NPI | 1558388397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOYLE RUSSELL SICKLES Physician 304-624-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 12344) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |