NPI | 1245449776 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY ALAN HAASE Chairman 757-499-9671 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101025209) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-06-17 |