| NPI | 1326279050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD CARMAN Director 928-681-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-03-07 |