| NPI | 1528184330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY K. ARBUCKLE President 757-340-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101222201) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-06-03 |