| NPI | 1093990103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES RUSSELL EVANS CEO 540-723-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101049881) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2009-05-20 |