| NPI | 1225079650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ZYDRON AO 757-719-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-04-03 |