| NPI | 1083784359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEA HARRIS Office Manager Proprietor 804-435-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101023906) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-05-16 |