Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 0101050350 | VA |
N | 207U00000X | Nuclear Medicine Specialist | D0033521 | MD |
NPI | 1053556217 |
---|---|
Provider Name | Dr. Julio E Garcia |
First Address | Annandale, VA 22003-6800 |
Second Address | Annandale, VA 22003-6800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 02/12/2008 |