| NPI | 1770513855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KIRBY Billing Administrator 301-651-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1391) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-04-19 |