NPI | 1336175629 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK WAYLAND MARKS Physician 540-786-8351 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101020614) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017137109) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2008-07-24 |