NPI | 1740655273 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GRIMES CFO 855-246-8607 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-12-09 |
Last Update Date | 2023-01-26 |