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 |