| NPI | 1770597494 |
|---|---|
| Doing Business As | BRONSON VICKSBURG EMERGENCY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DENISE M BARTZ Contract Credentialing Coordinator 269-341-7806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-12-15 |