| 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 |