| NPI | 1730589458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT ROBERT STOCKSTILL President 540-345-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 101045664) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |