| NPI | 1609297308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY L DANACEAU Presidanbt 703-893-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101021152) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |