| NPI | 1508974940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET DENISE GIBSON Insurance COO Rdinator/Accts Receiva 540-662-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-06-18 |