| NPI | 1760553044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 877-892-9813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-01-23 |