| NPI | 1639177942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOM MAYER President/Owner 888-898-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 207P00000X) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-06-28 |