| NPI | 1801843974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W CRUZEN President 618-624-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-10-19 |