NPI | 1417082231 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE M SANBORN Medical Biller 703-730-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101048180) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101221455) |
208600000X Surgery (Licence: VA 0101236256) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2009-08-21 |