| NPI | 1891857439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SIDERIO Practice Manager 804-346-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 101052331) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 101020625) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 24129598) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-03-05 |