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NPI Profile for PRIMUS TRAUMA CARE LLC in NORMAL, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI Number | 1831384643 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/14/2007 | |
| Last updated | 09/28/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PRIMUS TRAUMA CARE LLC
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PRIMUS TRAUMA CARE LLC