Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0116023068 | VA |
N | 2080P0204X | Pediatric Emergency Doctor | 0116023068 | VA |
NPI | 1063722759 |
---|---|
Provider Name | Dr. Astrid Butts Sarvis |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2010 |
Last Update Date | 25/03/2014 |