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 |