| NPI | 1316081284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE E BRUNER Owner President 703-558-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101032019) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |