| NPI | 1811146640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R. HICKS Partner 304-256-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: WV 3400) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |