| NPI | 1083677181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M. TIMMINS Owner, Director 877-872-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-10-28 |