| NPI | 1295703627 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA DEBRUHL Biller 888-313-4144  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | 
| Enumeration Date | 2006-03-10 | 
| Last Update Date | 2024-11-21 |