| NPI | 1912103136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT MORRA President CEO 800-377-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-06-04 |