| NPI | 1629482526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E WISEMAN Division Controller 540-536-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |