| NPI | 1588844435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRET NORMAN SHAKESPRERE Owner 304-728-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 19076) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-01-31 |