| NPI | 1619326527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PRITCHARD Chief Executive Officer 888-330-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001206) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |