| NPI | 1588766638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CHARLES STONEBRAKER President 304-670-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-06-5924-S) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |