| NPI | 1720672280 |
|---|---|
| Doing Business As | BEAVERDAM FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER BITTNER President 804-360-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |