| NPI | 1295066652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R KING Owner 703-212-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0102050164) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |