NPI | 1861906083 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW DOSSETT Manager 800-785-8765 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical |
Enumeration Date | 2017-11-27 |
Last Update Date | 2023-09-07 |