| NPI | 1689982696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SLATER Senior Biller 304-760-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 23485) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2011-01-24 |