| NPI | 1629008438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS G DEMOZ Medical Director 804-264-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101235406) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-10-16 |