NPI | 1942432687 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK MORGAN COO 304-528-4600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2009-08-13 |
Last Update Date | 2022-09-28 |