| 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 |