| NPI | 1235222571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN L VANDEN HOEK Partner 757-875-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101046667) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2020-08-22 |