| NPI | 1033393566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP C RICHEMONT Sole Proprieter 928-210-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: AZ 18163) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |