| NPI | 1699820415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY CIAROLLA President 304-363-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV WV17859) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-11-01 |