Individual
ALITA GOTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-6573
Mailing address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C00002084
MD
363A00000X
Physician Assistant
Primary
PA30109
DC
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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