| NPI | 1780958702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY THEODORE STEANS President 540-597-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX M5938) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 101241702) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |