| NPI | 1891892097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BRADLEY FRANZ President 304-624-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology Dermatopathology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RR0500X Internal Medicine Rheumatology | |
| 291U00000X Clinical Medical Laboratory | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-07-18 |