NPI | 1013275056 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDA L DABBS President 888-203-1274 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-04-27 |