| NPI | 1457146482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AARON LEDDY Business Director 405-757-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |