| NPI | 1801833140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D BISHOP CEO 877-889-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| 164W00000X Licensed Practical Nurse | |
| 207N00000X Dermatology | |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 207PS0010X Emergency Medicine, Sports Medicine | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-03-25 |