| NPI | 1720587447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M MCCARTY General Counsel & S Ecretary 855-768-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-10-08 |