| NPI | 1740526342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK N GOMEZ President 319-354-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IA 24803) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2024-05-21 |