NPI | 1871732784 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK C CRUM President 757-484-7386 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101038607) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-02-17 |