| NPI | 1013914951 |
|---|---|
| Doing Business As | PRIMARY CARE ASSOC OF POTOMAC PC |
| Entity Type | Organization |
| Authorized Contact | ALAN H WYNN President 703-490-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101040884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239629) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-05-05 |