NPI | 1619906286 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDIA SUSSDORF Physician 540-899-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101235168) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237777) |
208000000X Pediatrics (Licence: VA 0101049316) | |
208000000X Pediatrics (Licence: VA 0101230344) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |