| NPI | 1700154226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SCHNEIDER VP 703-558-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207N00000X Dermatology |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 2086S0129X | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2024-03-28 |