| NPI | 1790168250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL E SICARD President/Csa 240-543-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-09-04 |