NPI Profile for INTEGRATED HEALTH CARE PROVIDERS INC in CHARLESTON, WV.
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Surgery |
2086S0120X | 02 | Physician/General Surgery |
| NPI # | 1881031557 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/04/2013 | |
| Last updated | 06/04/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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