Organization Name: | DAVID B WINTER, DO, PC |
NPI Number: | 1588975122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID BROOKS WINTER (PRESIDENT/DIRECTOR) |
Mailing Address: | 927 N Kenmore St Arlington |
State: | VA US |
Postal Code: | 222012226 |
Phone Number: | 7035247728 |
Fax Number: | 7035244577 |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102034822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |