| NPI | 1902122740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN SKAFF Doctor 304-925-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 14717) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |