| NPI | 1972663961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S ALBERTSON Physician Owner 703-393-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101236954) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-03-25 |