| NPI | 1184016313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LIPSMEYER Managing Partner 800-893-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2021-05-10 |