Fuller Roberts Ob-Gyn And Primary Care Valid NPI

Organization · Obstetrics & Gynecology Physician · South Boston, VA

NPI

1366814113

Type

Organization (Type 2)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

0101239403 (VA)

Enumerated

2015-10-20

Last updated

2015-10-20