Organization
VIRGINIA INTEGRATIVE HEALTH & HYPERBARIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVOUNE PETRIE (DIRECTOR)
(703) 938-1421
Entity
Organization
Contact information
Practice address
410 PINE ST SE, SUITE 320, VIENNA, VA 22180-4861
(703) 938-1421
(703) 938-1424
Mailing address
410 PINE ST SE, SUITE 320, VIENNA, VA 22180-4861
(703) 938-1421
(703) 938-1424
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
0101231928
VA
2083S0010X
Sports Medicine (Preventive Medicine) Physician
0101231928
VA
208D00000X
General Practice Physician
0101231928
VA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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