| NPI | 1770519381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY T. RAMIREZ CEO 757-483-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |