BROADWAY FAMILY PRACTICE, PC

BROADWAY, VA
NPI1891880217
Entity TypeOrganization
Authorized ContactGEORGE A BENTREM
Owner
540-896-7061
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101054180)
Enumeration Date2006-10-03
Last Update Date2008-05-02
Business Address
BROADWAY FAMILY PRACTICE, PC
12515 TIMBERWAY
BROADWAY, VA 22815
Phone number: 540-896-7061
Mailing Address
BROADWAY FAMILY PRACTICE, PC
P. O. BOX 6
BROADWAY, VA 22815
Phone number: 540-896-7061