| NPI | 1649368291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADLEY MILTON RUNYAN President 304-525-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: WV 20909) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |