| NPI | 1902248636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J BYRNE M.D./President 800-507-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |