NPI | 1922345313 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRON SIMON Chief Medical Director 703-430-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101232169) |
Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |