| NPI | 1801083852 |
|---|---|
| Doing Business As | MAGRUDER PRIMCARY CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DOUCETTE Vice President 757-594-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2009-01-20 |