NPI | 1700134699 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER STEVENSON BARCLAY Physician/Owner 304-599-0563 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 11530) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-08-27 |