| NPI | 1871600460 |
|---|---|
| Doing Business As | CARDIO-THORACIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JEFF GOODE Executive Director 304-388-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |