| NPI | 1154362069 |
|---|---|
| Doing Business As | PRIMARY HEALTH GROUP - IRONBRIDGE |
| Entity Type | Organization |
| Authorized Contact | CAROL SMITH VP 804-237-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-01-11 |