Organization Name: | WINCHESTER INTEGRATIVE HEALTH & WELLNESS, PLLC |
NPI Number: | 1417221227 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN G SUTTON (PHYSICIAN OWNER) |
Mailing Address: | 423 W Cork St Suite 100 Winchester |
State: | VA US |
Postal Code: | 226013812 |
Phone Number: | 5404500319 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101236241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |