| 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 |