| NPI | 1780643718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. MCGOWAN P Resident 804-254-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |