| NPI | 1316947609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer/Authorized Official 202-881-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007790) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-09-13 |