| NPI | 1487977161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MICHELLE BATTEN Credentialing Specialist 757-321-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101041556) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |