| NPI | 1396933107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON VINCENT CULP President 703-729-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0618000034) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-10-10 |