| 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 |