NPI | 1033136783 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS TOMZAK Physician/Owner 540-368-1986 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101038219) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-08-22 |