| NPI | 1558674002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P TOMLINSON Ownter 304-424-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 23984) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23984) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |