| NPI | 1518903038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE EGLEVSKY Physician/Owner 540-371-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101028315) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-08-05 |