| NPI | 1720205172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L WERWATH President 757-428-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101034422) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-06-27 |