| NPI | 1205873544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN E BOWERS Owner 228-867-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-09-17 |