| NPI | 1487919734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUC NGUYEN Emergency Medicine Resident Physici 703-819-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |