| NPI | 1225118532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEWIS PILLSBURY DAVID President 804-674-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-11-10 |