NPI | 1861673188 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRETT LEWIS BURKA President 202-966-5766 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DC MD9170) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2007-11-15 |