| NPI | 1801050687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC RAY ANGER Md/Owner 304-636-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 20931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 61887) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2009-04-27 |