| NPI | 1013109842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H MEADOR Office Manager 540-344-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101042165) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |