| NPI | 1598737454 |
|---|---|
| Other Name | LEWIS-GALE FAMILY CARE - BONSACK |
| Entity Type | Organization |
| Authorized Contact | OTIS BLACKWOOD Practice Administrator 540-772-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101051150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101054814) |
| 208000000X Pediatrics (Licence: VA 0101036280) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |