| NPI | 1275610636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE G HALL Business Manager 540-483-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0000028708) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101029905) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-11-09 |