| NPI | 1902800758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FRANK DUNDERVILL Managing Partner 304-346-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WV 002) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-07-21 |