| NPI | 1053556506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BERGAMO Vice President 804-267-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2025-11-13 |