| 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 |