| NPI | 1336856095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE D HORDGE Office Manager Delegated Offical 703-769-8423 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-03-04 |