| NPI | 1427697556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BROTHERS TOLLIVER CEO/Physician Assistant 240-743-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-03-07 |