| NPI | 1518090406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY STEPHAN HOTCHKISS Owner 301-843-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1420) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-12-12 |