NPI | 1003892464 |
---|---|
Doing Business As | GRANITE CITY ANESTHESIA |
Entity Type | Organization |
Authorized Contact | GARY NEWSOME VP 615-465-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2005-12-19 |
Last Update Date | 2007-07-30 |