| NPI | 1942486907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN CAMPBELL Physician 703-736-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101052547) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2014-02-11 |