NPI | 1831491042 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY L VANDERGRIFT President 304-367-8740 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: WV 1034-6686) |
Enumeration Date | 2010-11-19 |
Last Update Date | 2011-09-23 |