| NPI | 1639599723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CALVIN LAROCQUE Owner 757-484-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: VA 0101034393) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-06-20 |