| NPI | 1750914164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT WETZLER President 757-889-5422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2024-06-07 |