| NPI | 1326492273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND V HARRON Owner 540-345-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0102050084) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-05-27 |