NPI | 1679512909 |
---|---|
Doing Business As | SHOCK TRAUMA ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KIMBERLY COLLIC Director Of Professional Fees 667-214-1334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-06-05 |
Last Update Date | 2021-10-26 |