| NPI | 1417790213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DENTON STAM Owner 540-327-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |