| NPI | 1841471588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R FREDERICK Owner 202-291-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC 4502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101051734) |
| 207R00000X Internal Medicine (Licence: MD 00007970) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2009-06-02 |