| NPI | 1770689598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH BRYANT COOK Managing Partner 703-444-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 010330742) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-05-30 |