| NPI | 1942327036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN P WEIXLER Physician 757-874-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101041408) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-02-21 |