| NPI | 1912420969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE JEAN CRIGGER Physician 304-254-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-04-13 |