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 |