| NPI | 1922109545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W. VON DOHLEN Sole Proprietor 304-647-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 13305) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-08-21 |