| NPI | 1043627862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ROBINSON COO 301-637-8712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110004667) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004667) |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110004667) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2020-03-13 |