| NPI | 1164720868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS L RAYMER CEO 870-838-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 176B00000X Midwife |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |