| NPI | 1841256849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WILLIAMSON Administrator 304-344-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WV 00307) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WV 00307) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WV 00307) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WV 00307) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-06-10 |