| NPI | 1194989236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E JOHNSON Owner 804-282-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101027023) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |