| NPI | 1902842438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA YBANEZ-MORANO President 304-234-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 18916) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-01-29 |