| NPI | 1609975630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A RODGERS Authorized Official 304-343-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-04-22 |