| NPI | 1467488825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GAMACHE Physician 540-898-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101840583) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101049279) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-12-14 |