| NPI | 1902928831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DANIEL RASI Owner Of Medical Practice 276-322-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102201307) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-12-12 |