| NPI | 1285823542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE A MCCOY-COLLINS Managing Member 202-548-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC DEN3652) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: DC DEN3652) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC DEN3652) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC DEN3652) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC DEN3652) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: DC DEN3652) | |
| 207V00000X Obstetrics & Gynecology (Licence: DC DEN3652) | |
| 207W00000X Ophthalmology (Licence: DC DEN3652) | |
| 207X00000X Orthopaedic Surgery (Licence: DC DEN3652) | |
| 207Y00000X Otolaryngology (Licence: DC DEN3652) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC DEN3652) | |
| 208600000X Surgery (Licence: DC DEN3652) | |
| 208800000X Urology (Licence: DC DEN3652) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: DC DEN3652) | |
| 363A00000X Physician Assistant (Licence: DC DEN3652) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-12-04 |