NPI | 1659319275 |
---|---|
Entity Type | Organization |
Authorized Contact | MARION C OLSON CEO 540-767-9610 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant (Licence: VA 0110001871) | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2011-04-21 |