| NPI | 1013910330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE J. WOOD-SABO Practice Administrator 757-567-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 168544-R) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-08-18 |