| NPI | 1265616221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A CAMPANA Physician 757-229-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101035546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101051684VA) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |