| NPI | 1366884322 |
|---|---|
| Doing Business As | VISIONARY ASC MD |
| Entity Type | Organization |
| Authorized Contact | PAUL MACKOUL President 240-669-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2024-09-09 |