| NPI | 1861480840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON BUCK Authorized Official 425-738-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: WA MD00017213) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-02-09 |