| NPI | 1669631560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY CAMPANA President 757-229-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0101035546) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2014-09-17 |