| NPI | 1639289937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MARTIN VP & COO 304-526-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WV 2017-9518) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: WV 005812) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: WV 2017-9518) | |
| 363A00000X Physician Assistant | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: WV 005812) | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-01-25 |