| NPI | 1861440646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALES Principal Officer 540-454-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-07-12 |