| NPI | 1497380968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEM Y WALKER LAWSON Surgical First Assist 240-320-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |