| NPI | 1447564422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PROKOPCHAK Office Manager 540-375-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2014-04-03 |