| NPI | 1891769840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWERANCE LECLAIR Radiology Department Head 757-953-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: WI 37611) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-08-13 |