| NPI | 1033561956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALTON EDENS President 855-491-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |