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INTEGRATIVE HYPERBARIC & WOUND CARE LLC

Physicians Surgery

Provider NPI: 1922494459

Organization Information:
Organization Name:  INTEGRATIVE HYPERBARIC & WOUND CARE LLC
Organization is Subpart
Authorized Official:  CALISTA  PETRIE  CASE MANAGER  703-938-1421

Practice Location:
410 PINE ST SE SUITE 330 VIENNA, VA 22180-4861 US
Tel: 703-938-1421  Fax: 703-938-1424

Business Mailing Address:
410 PINE ST SE SUITE 330 VIENNA, VA 22180-4861 US
Tel: 703-938-1421  Fax: 703-938-1424

NPI Information:
NPI: 1922494459
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208600000XPhysicians
Surgery
N261QA1903XAmbulatory Health Care Facilities
Clinic/Center
N208VP0014XPhysicians
Pain Medicine
Y2083P0011XPhysicians
Preventive Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2083P0011X

Type:

Classification:



Definition:



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