| NPI | 1912044389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BETH LILLY Administrative Assistant 304-346-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |