| NPI | 1881046993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY K GARDNER VP Of Finance 703-366-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-29 |