| NPI | 1558334615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO E HERRERA Office Manager 804-526-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101230277) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-10-17 |