| NPI | 1639707847 |
|---|---|
| Other Name | PROFESSIONAL GROUP-PA |
| Entity Type | Organization |
| Authorized Contact | BRIAN J KING Director Patient Financial Services 304-285-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |