| 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 |