| NPI | 1740469386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GERALD BOSLEY President 304-538-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 1023) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-02-12 |