OrganizationActive
Adult and Pediatric Neurosurgery
NPI 1861686404 · Specialist · Norfolk, VA
Provider details
- NPI number
- 1861686404
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Petra Gurtner, President(757) 622-1003
- License
- 0101056357 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
248 W Bute St
Suite 100
Norfolk, VA 23510-1440
Phone: (757) 622-1003
Fax: (757) 622-1108
Approximate (ZIP-level) locationGet directions
Mailing address
248 W Bute St
Norfolk, VA 23510-1440
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2011-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.