| NPI | 1346828514 |
|---|---|
| Doing Business As | 10-4 MEDICAL |
| Entity Type | Organization |
| Authorized Contact | EDWARD J HUDSON CFO, COO 520-907-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-04-07 |