NPI | 1588975122 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BROOKS WINTER President/Director 703-524-7728 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102034822) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2010-06-29 |