| NPI | 1861204448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK SCHERICH VP Of Finance 304-598-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |