| NPI | 1639222359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERON STINAR Medical Director 540-785-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-10-26 |