| NPI | 1548681216 |
|---|---|
| Doing Business As | WILLIAMSBURG FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BARRY G GOETTSCH CEO 319-642-5543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2020-01-21 |