| NPI | 1699033233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAD A. STEPHENS President 913-526-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 102147) |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: MO 102147) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |