NPI | 1700576204 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN CONDREY Physician Assistant 703-544-8971 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-05-09 |