| NPI | 1619093747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY O. DICK President 301-251-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1326) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-06-11 |