| NPI | 1407079155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICH Medical Director 703-534-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH712) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-10-15 |