| NPI | 1003407164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A KLEINERT Authorized Official 717-413-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2025-02-07 |