| NPI | 1518156090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DEACON Owner/President 805-964-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: CA A66064) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2010-11-16 |