| NPI | 1386820694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F BLYTHE Owner 301-592-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD D0017548) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-06-10 |