| NPI | 1043585029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIC GARNER Manging Partner 703-978-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101017927) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101025357) |
| 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101053539) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101240590) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |