| NPI | 1912875394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERINNA C DOGGETT EVP, Chief Of Strategy & Business A 202-494-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207W00000X Ophthalmology | |
| 207V00000X Obstetrics & Gynecology | |
| 152W00000X Optometrist | |
| 213E00000X Podiatrist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-12-01 |