| NPI | 1104349489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH WELCH-FLORES Business Development Manager 540-536-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2019-06-12 |