| NPI | 1568488799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY CHAPPELL Administrator 703-892-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-04-22 |