| NPI | 1053446708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BURNETT Surgical Assistant Certified 240-602-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD 06-265) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-08-27 |