NPI | 1093154874 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J BYRNE President 800-507-8874 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207P00000X Emergency Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2013-07-08 |