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 |