NPI | 1134118318 |
---|---|
Doing Business As | PARKLAND FAMILY PRACTICE OF DERRY |
Entity Type | Organization |
Authorized Contact | KENNETH WASHINGTON Vice President 703-650-2907 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-10-19 |
Last Update Date | 2008-01-23 |