| NPI | 1134290703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WALTER FUTRELL President 540-213-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101058590) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-07-26 |