| NPI | 1710013081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAVEN N WALL President 304-645-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 12141) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-05-14 |