| NPI | 1225644701 |
|---|---|
| Doing Business As | MIRACLE MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY ALTAMARIA MAPP Physicine 240-603-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2021-08-05 |