| NPI | 1619490778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELAMY CHARLEY Chief Legal Officer 240-686-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2020-06-03 |