NPI | 1659379105 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE J STONEROCK President/M.D. 703-368-7110 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101045665) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2023-07-28 |