| NPI | 1518664796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN STUMPF Owner 360-984-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-06-01 |