| NPI | 1659508489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E SCHAUER CFO, VP Of Finance 304-675-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 21778) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |