| NPI | 1225421126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE CREESE President 800-526-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-03-04 |