NPI | 1245464858 |
---|---|
Entity Type | Organization |
Authorized Contact | BRET R BOYLE Medical Director 801-590-9064 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Enumeration Date | 2009-05-11 |
Last Update Date | 2023-03-07 |