| NPI | 1053691964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA P MAHEU Administrator 540-361-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |