| NPI | 1760647069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L. MOLLEN President 804-288-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101025905) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |