| NPI | 1457125718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BERGAMO Vice President 804-267-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |