| NPI | 1730183286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATT STRAUB CFO 304-691-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 363LF0000X Nurse Practitioner Family | |
| 213E00000X Podiatrist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2025-05-16 |