NPI | 1518655943 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT REID NOTTINGHAM Founder/Licensed Surgical Assist 757-439-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2023-04-25 |
Last Update Date | 2023-04-27 |