| NPI | 1710199070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE N WELLS Physician Owner 540-891-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101044803) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |