| NPI | 1215871918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MOORE Owner 202-213-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207N00000X Dermatology |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-29 |