| NPI | 1952774416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P NEIDERER Md 804-767-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 102203303) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |