| NPI | 1568671980 |
|---|---|
| Doing Business As | WVUPC FAMILY MED CTR CHAS (PAASGRP) |
| Entity Type | Organization |
| Authorized Contact | TERRY MILLER Provider Relations Analyst 304-293-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 6705038001) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-06-20 |