OrganizationActive
Complex Healthcare of Farmington LLC
NPI 1104476928 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Farmington, MO
Provider details
- NPI number
- 1104476928
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Glenn Hermes, Ceo
Mailing address
4201 Interway Pl
Arlington, TX 76018-5668
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.