| NPI | 1306906821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE MILLER Manager 540-504-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101041592) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-07-23 |