| NPI | 1750707154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EMERY PARKS Regional Medical Director 703-288-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9500175) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |