NPI | 1902104094 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY ALAN ALOUF Md 540-375-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 0101-230-957) |
Enumeration Date | 2011-03-14 |
Last Update Date | 2011-03-14 |