| NPI | 1053401539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MIZE Program Director 816-943-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-07-01 |