| NPI | 1952865255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN VESS President 304-647-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 207Q00000X Family Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |