Organization Name: | VALLEY PHYSICIAN ENTERPRISE INC |
NPI Number: | 1811372576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY FEIT (COO) |
Mailing Address: | 9166 N Congress St Suite 2 New Market |
State: | VA US |
Postal Code: | 228449422 |
Phone Number: | 5404591515 |
Fax Number: | 5404591519 |
NPI Enumeration Date: | 07/23/2015 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | G0703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |