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 |