| NPI | 1366570400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DRAKE LEONARD Medical Director 703-352-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101043356) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-03-08 |