| NPI | 1821007584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK ROBERT MELHORN President 804-288-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-02-05 |