| NPI | 1902847635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VAUGHAN VP 540-224-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH709) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-08-07 |