| NPI | 1790714228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BOYLES Treasurer 304-367-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-03-17 |