| NPI | 1780997262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J GIBSON Dr/Owner 703-360-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101030484) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |