| NPI | 1760884415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN F MCCRARY President 702-203-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AZ 2269) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: AZ 2269) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 2269) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-12-01 |