| NPI | 1427266147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WAYNE GATES Physician 540-433-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101037916) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-02-11 |