| NPI | 1073827341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RICHARDSON CEO 866-714-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA A280173) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2014-07-30 |