| NPI | 1639418593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J CONELL Owner 540-560-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101033110) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |