| NPI | 1134723919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA O GATTERDAM Member 240-271-8962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-01-31 |