| NPI | 1710137443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN MCDANIEL Provider Relations Supervisor 304-293-5033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207Q00000X Family Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |