| NPI | 1003387044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PETER GRANSINGER C RN A 662-322-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-01-12 |