| NPI | 1568682730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE SAUNDERS Office Manager 304-234-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0001X Internal Medicine Clinical & Laboratory Immunology |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-10-29 |