| NPI | 1710020623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK V Ice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207Y00000X Otolaryngology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2017-02-20 |