NPI | 1114333481 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIK K KING Managing Partner 866-916-5259 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
207P00000X Emergency Medicine | |
Enumeration Date | 2014-07-08 |
Last Update Date | 2017-03-01 |