| NPI | 1245218684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE J HALL Practice Administrator 703-359-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-11-04 |