| NPI | 1679710503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COLLIN HARKRADER Office Manager 804-747-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101019265) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101019265) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-07-02 |