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 |