| NPI | 1013914985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K MILLER Medical Director 540-342-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: VA OH636) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2025-04-08 |