NPI | 1487970695 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE CRENSHAW Office Manager 703-421-2875 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101057206) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2010-04-16 |