| NPI | 1184964124 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP STROOBANTS CARDIOVASCULAR CENTER |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON Sr VP CFO 434-200-3656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-07-03 |