NPI | 1093225138 |
---|---|
Doing Business As | VIRTA MEDICAL P.C. |
Entity Type | Organization |
Authorized Contact | JEFFREY PETERSON STANLEY President 844-847-8216 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2017-10-03 |
Last Update Date | 2023-12-19 |