Virginia Neurospine PC

NPI #1356893879 in Forest, Virginia

Provider Information

NPI Number: 1356893879
Entity Type: Organization
Organization Name: Virginia Neurospine PC
Primary Specialty: Neurological Surgery
Enumeration Date: Nov 1, 2016
Last Updated: Nov 1, 2016

Practice Location

Address: 1019A VISTA PARK DR
City: Forest
State: Virginia
ZIP Code: 24551-4901
Phone: (434) 200-9009

Authorized Official

Name: DR. DIALNTHA ELLEGALA, MD
Title: OWNER
Phone: (434) 200-9009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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