| NPI | 1659403574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E MILLER Owner 304-346-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 15119) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2013-03-29 |