# RETINA WELLNESS AND SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174256648
- **Authorized official:** DR. DAVID PAN MD (GROUP PRESIDENT)
- **Authorized official phone:** (540) 920-2020

## Contact information

- **Practice address:** 1880 RESERVOIR ST STE A, HARRISONBURG, VA 22801-8832
- **Practice address phone:** (540) 232-9875
- **Mailing address:** 1880 RESERVOIR ST STE A, HARRISONBURG, VA 22801-8832
- **Mailing address phone:** (540) 920-2020
- **Mailing address fax:** (540) 920-0828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2022
- **Last updated:** 09/02/2022