| NPI | 1063786002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT MEYER President/Physician 540-361-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 44918) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |