| NPI | 1609802883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL HARRIS President 800-247-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-09-11 |