| NPI | 1548358831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DARLENE GLENN Office Manager 703-766-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-06-22 |