| NPI | 1558463257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALLEN FOOTER Medical Director 301-948-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1135) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2009-08-25 |