| NPI | 1659062727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HUNTER President 804-306-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |