NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1447450176 |   |   |   | CIVISTA CLINICAL SERVICES, L.L.C. | PO BOX 1070 | LA PLATA | MD | 206461070 |
1831417476 |   |   |   | CIVISTA CLINICAL SERVICES LLC | 5 GARRETT AVENUE | LA PLATA | MD | 206461070 |
1841525540 |   |   |   | CIVISTA PEDIATRIC HOSPITALIST GROUP | 5 GARRETT AVE | LA PLATA | MD | 206465960 |
1952398372 | BARNES | DALE | R. |   | 701 CHARLES ST | LA PLATA | MD | 206465930 |
1982691549 | DECARLO | RANDOLPH | A. |   | 701 CHARLES ST | LA PLATA | MD | 206465930 |
1134116791 | GURUSWAMY | GOPAL |   |   | 701 CHARLES ST | LA PLATA | MD | 206465930 |
1710399027 | HERNANDEZ | ANDREA |   |   | 5 GARRETT AVE | LA PLATA | MD | 206465960 |
1568652717 | OROGBEMI | BABATUNDE | ODEBUNMI |   | 5 GARRETT AVE | LA PLATA | MD | 206465960 |
1841291457 | VITEK | JAMES | JOSEPH |   | 701 EAST CHARLES STREET | LA PLATA | MD | 20646 |
1306813134 | WILTROUT | LISA | M |   | 701 CHARLES ST | LA PLATA | MD | 206465930 |