NPI | 1447005764 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY BLAIR ELDER Revenue Cycle Administrator 737-247-1223 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Enumeration Date | 2024-04-19 |
Last Update Date | 2024-09-12 |