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1103 Half St Se Washington DC 20003 | |
| (202) 207-0060 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 1103 Half St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Stephanie Schneider (VICE PRESIDENT) |
| Authorized Official Contact | 7035581403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3007 Tilden St Nw Ste 5n Washington DC 20008-3030 Ph: () - | 1103 Half St Se Washington DC 20003 Ph: (202) 207-0060 |
| NPI Number | 1487413308 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487413308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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