NPI | 1588961577 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTINA E EKE Md/Pediatrician 304-707-6204 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 23370) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2011-09-27 |