| NPI | 1265183354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P. TYNER Chief Medical Officer 571-999-7973 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-03-13 |