| NPI | 1760625917 |
|---|---|
| Doing Business As | SPRINT ON SITE HEALTH CENTER RESTON |
| Entity Type | Organization |
| Authorized Contact | TINA R SPICER Credentialing Sprcialist 615-468-6548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-05-08 |