| NPI | 1629299342 |
|---|---|
| Other Name | FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY W. GRAHAM Physician 304-727-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 09628) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-08 |