| NPI | 1821338047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAY Office Manager 304-388-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WV 2474) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |