| NPI | 1174526594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVIN CLAYTON Head Of The Group 800-968-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5010009914) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2008-01-14 |