| NPI | 1013772078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BRYANT Owner 480-213-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-03-20 |