| NPI | 1881658524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MILFORD Medical Director 240-420-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1380) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-03-11 |