| NPI | 1063799302 |
|---|---|
| Doing Business As | GLEN ALLEN INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GEORGE O BUTLER Director Corporate Responsibility 804-281-0271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2018-10-24 |