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Physicians Psychiatry & Neurology Neurology

Provider NPI: 1366580755

Organization Information:
Organization is not Subpart
Authorized Official:  ROBIN  MINKS  OWNER  540-260-9080

Practice Location:
Tel: 540-260-9080  Fax: --

Business Mailing Address:
Tel: 540-260-9080  Fax: --

NPI Information:
NPI: 1366580755
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Psychiatry & Neurology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2084N0400X





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