| NPI | 1467411314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN S WITTE Managing Member 804-425-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2011-01-12 |