| NPI | 1326139577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DENTON STAM Office Manager 540-536-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: VA 0101224774) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |