| NPI | 1417079831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE L DESPER Billing Manager 540-245-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101048669) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2013-09-24 |