| NPI | 1619263456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBREY VERDUN Owner 301-770-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD D0066729) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-08-09 |