| NPI | 1558528018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TUCKER Owner/Physician 304-431-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 1960) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |