| NPI | 1992053482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MOLUHN CEO 804-389-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0105215784) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-09-18 |