| NPI | 1871094821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA CHRISTENSEN Owner 434-305-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-08-21 |