| 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 |