| NPI | 1154419802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA C SEBESTIN Manager 540-772-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101033189) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-06-05 |