| NPI | 1194162388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS HUNTER Csa 804-306-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |