| NPI | 1801973169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE F STRAKA Owner/Physician 434-923-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101042830) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-10-22 |