| NPI | 1023313855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M PLONK Owner 540-447-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 2009-00470) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |