| NPI | 1215972443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE POMPOSINI Owner 434-797-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101044402) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-09-19 |