NPI | 1447400734 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W BLUME Director 800-893-9698 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-09-24 |
Last Update Date | 2008-09-24 |