| NPI | 1013157098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HESTER President 757-816-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 1513) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |