| NPI | 1871894006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHENG YEE Owner 304-252-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 11456) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: WV 11456) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |