NPI | 1114565298 |
---|---|
Doing Business As | FAIR OAKS MEDICAL CENTER DPP |
Entity Type | Organization |
Authorized Contact | JOSEPH T BUTZ Chief Operating Officer 301-816-5867 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2019-12-19 |
Last Update Date | 2021-05-26 |