| NPI | 1407288137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH VAN ELKAN President 334-396-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 00024957) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |