| NPI | 1447365945 |
|---|---|
| Former Legal Business Name | PETERSBURG ONCOLOGY, INC |
| Entity Type | Organization |
| Authorized Contact | DONNA MAE FUKUMOTO Pres, Up, Sec, Treas 804-732-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101030480) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-07-06 |