| NPI | 1962433532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DELLAMAR Executive Director 804-726-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-04-17 |