| NPI | 1184505133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANDERSON Physician Associate/Surgical Assist 703-424-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |