| NPI | 1417053323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MARJORIE KOONS Secretary Treasurer 703-385-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101027049) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |