NPI | 1003901257 |
---|---|
Doing Business As | DR ROZANA ITSKOVICH |
Entity Type | Organization |
Authorized Contact | GREGORY ITSKOVICH Vice President 804-364-8802 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101058429) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-11-30 |