| NPI | 1801771365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP Of Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 363L00000X Nurse Practitioner | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |