| NPI | 1982831269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. MALAMISURA Sole Owner 304-325-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 11940) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |