| NPI | 1275065146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BRIAN MCCALLUM Principal 501-626-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: AR E-3712) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |