| NPI | 1114771862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY BOGGS A VP 240-315-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |