| NPI | 1710125430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SMITH Executive Director 304-424-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207V00000X Obstetrics & Gynecology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2023-10-06 |