| NPI | 1801151741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K BUTCHER Managing Partner 757-599-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101225820) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |