| NPI | 1609009166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M BEALE Owner 202-463-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: DC md25461) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |