| NPI | 1881861151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA THOMAS Practice Administrator 540-270-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA S249020-1) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |