| NPI | 1891220695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY KIELER RICE Physician 304-901-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 21499) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: WV 21499) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-11-14 |