| NPI | 1407991037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WEIR Comptroller 202-627-7843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |