| NPI | 1649061706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E BLOCKER Owner 682-200-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |