| NPI | 1215178843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A LANDES Owner 540-348-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA 00A682790) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-10-15 |