| NPI | 1811211394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J HARTLE Physician 757-232-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101049148) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2011-08-18 |