| NPI | 1023640349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SADINSKI Partener 757-537-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-03-09 |