NPI | 1508165242 |
---|---|
Doing Business As | TARA KIRK, OD |
Entity Type | Organization |
Authorized Contact | TARA JOANNE WEISBECK KIRK Owner 804-301-1969 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA OEG002194) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2011-03-21 |