| NPI | 1740576727 |
|---|---|
| Doing Business As | THE SCOOTER STORE CLINIC |
| Entity Type | Organization |
| Authorized Contact | STUART CLARK Executive VP 703-760-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |