| NPI | 1295703627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DEBRUHL Biller 800-290-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2022-02-14 |