| NPI | 1801786066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HENNESSEY Authorized Official 304-282-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |