| NPI | 1861597072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C HERMANN Physician 434-793-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0128376 1) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0128376 1) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0128376 1) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0128376 1) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0128376 1) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-06-10 |