NPI | 1619147105 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY OFFENBACK Practice Manager 804-346-1790 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101048795) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101054411) |
2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101047580) | |
Enumeration Date | 2008-03-11 |
Last Update Date | 2011-04-05 |