| NPI | 1366477234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN J. POFFENBARGER Physician/Owner 540-374-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101238532) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-12-28 |