NPI | 1437701612 |
---|---|
Entity Type | Organization |
Authorized Contact | GLEN OWEN BAILEY CEO/Contract Officer 251-471-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-07-09 |