| NPI | 1366871162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE STOKES Physician 804-690-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101038412) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |