| NPI | 1770716656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY CARR Office Manager 703-573-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101036798) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |