| NPI | 1306893854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C COLLINS Owner 304-522-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |