NPI | 1124366489 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J BYRNE President 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-01-22 |
Last Update Date | 2014-02-05 |