| NPI | 1669579934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY KEEFE Administrative Manager 540-538-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101043485) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-06-01 |