| NPI | 1861755910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL A SCHOR President/Md 304-325-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 01485) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |