NPI | 1700175494 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL M PHILLIPS President 202-785-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DC 6374) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-04 |