NPI | 1700953106 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J BYRNE President 918-857-2561 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |