| NPI | 1982720801 |
|---|---|
| Other Name | MSMR |
| Entity Type | Organization |
| Authorized Contact | DOSHIA K PETRY WARD Practice Manager 304-400-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 1818) |
| 174400000X Specialist (Licence: WV 1767) | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2025-03-27 |