| NPI | 1053340281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARD STEVENS Director 540-232-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-11-07 |