| NPI | 1992763742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF A BROWN Physician 804-288-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-02-04 |