| NPI | 1740485697 |
|---|---|
| Doing Business As | DETAR HOSPITAL NORTH EMERGENCY DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2011-06-30 |