| NPI | 1184748360 |
|---|---|
| Doing Business As | BROADLANDS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAMES P JENKINS President 703-255-9100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-12-27 |