| NPI | 1053340281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARD STEVENS Director 540-232-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2026-04-08 |