| NPI | 1982702528 |
|---|---|
| Other Name | CARDIOLOGY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY H. GOODE Executive Director 304-388-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |