NPI | 1619287158 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN G. HOLTZCLAW President 800-424-3672 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2010-10-18 |
Last Update Date | 2010-10-18 |