| NPI | 1801318613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL D. STECKLER Physician 757-376-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0102201515) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2025-10-16 |