Organization
MANDERSON ORTHOPAEDIC CLINIC AND JOINT PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EASTON L MANDERSON MD (PRESIDENT)
(202) 526-5300
Entity
Organization
Contact information
Practice address
1140 VARNUM ST NE STE 207, WASHINGTON, DC 20017-2153
(202) 526-5300
(202) 526-6013
Mailing address
1140 VARNUM ST NE STE 207, WASHINGTON, DC 20017-2153
(202) 526-5300
(202) 526-6013
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/29/2020
Last updated
02/07/2020
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