| NPI | 1932382801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE REYNOLDS Physician Practice Manager 540-247-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 16325) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |