PHS GEN SURG DP306

WASHINGTON, DC
NPI1457730244
Entity TypeOrganization
Authorized ContactBEAU HIGGINBOTHAM
President/COO
410-368-3162
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
(Licence: DC  HFD01-0212)
Enumeration Date2015-05-26
Last Update Date2017-10-09
Business Address
PHS GEN SURG DP306
1160 VARNUM ST NE DEPAUL 306
WASHINGTON, DC 20017-2107
Phone number: 202-854-4069
Mailing Address
PHS GEN SURG DP306
1160 VARNUM ST NE ST CATHERINES'S HALL, ROOM 102
WASHINGTON, DC 20017-2107
Phone number: 202-854-4069
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