| NPI | 1063287597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASPEN DECKER Owner 202-681-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-03-21 |