| NPI | 1740491315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN THEODORE SALUDES Owner 304-843-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 18009) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-04-14 |