| NPI | 1013958461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B BRUMMETT Managing Member 618-465-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |