| NPI | 1801139621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCHILLINGER Enrollment Manager 877-693-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2014-04-10 |