| NPI | 1790100477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PARRESOL Office Manager 703-554-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: VA 0101-22-5778) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2015-07-29 |