NPI | 1972831410 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD DEWALL CEO 563-421-1586 |
Organization Subpart ? | No |
Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: IA 036071509) |
Enumeration Date | 2009-11-20 |
Last Update Date | 2016-03-15 |