NPI | 1992906341 |
---|---|
Entity Type | Organization |
Authorized Contact | LISHA C FALK VP Of Contracting 800-893-9698 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-05-31 |
Last Update Date | 2016-01-14 |