NPI | 1528027026 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA COLEN Administrative Director 757-496-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH681) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2008-06-17 |