| NPI | 1306271119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIK K. KING Managing Partner 866-916-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2009-00436) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-11-22 |