| NPI | 1558857177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer / AO 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2025-04-09 |