| NPI | 1720620610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG S. CONRADY Manager 405-808-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2021-07-02 |