| NPI | 1982770244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. REPASS Clinic Administrator 304-647-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207VX0000X Obstetrics & Gynecology Obstetrics | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-03-24 |