| NPI | 1942357124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. PITMAN Physician 757-229-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0101052484) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-04-20 |