| NPI | 1568421659 |
|---|---|
| Doing Business As | ODEPA PA |
| Entity Type | Organization |
| Authorized Contact | ERIC BEAUVOIS President 443-695-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD 207P00000X) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2021-04-07 |