| NPI | 1164479556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY BUHR Director 276-656-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101051990) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-10-24 |