| NPI | 1215118633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MEADOWS President 800-507-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2009-02-26 |