Provider First Line Business Practice Location Address:
3800 RESERVOIR ROAD NW, 7PHC
Provider Second Line Business Practice Location Address:
DEPT OF NEUROSURGERY
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-444-4972
Provider Business Practice Location Address Fax Number:
202-444-7333
Provider Enumeration Date:
03/27/2021