| NPI | 1871040626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. TABIT Owner 304-400-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WV 2621) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-11-07 |