| NPI | 1881023117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PEMBERTON KEITH Manager 304-719-8658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208M00000X Hospitalist | |
| 207R00000X Internal Medicine | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 2085B0100X Radiology, Body Imaging | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2016-08-01 |