| NPI | 1679740385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A DURNELL Owner 304-424-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 14026) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.046188) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME85347) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC 19268) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |