| NPI | 1982810016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE CHANDLER Office Manager 703-494-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 07L15218) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-09-20 |