NPI | 1518490358 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK J SLEPIN Officer 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-04-08 |
Last Update Date | 2017-04-08 |