NPI | 1568493138 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA MANCINI Physician/Owner 540-361-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101057773) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237959) |
208000000X Pediatrics (Licence: VA 0101043865) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-08-22 |