| NPI | 1023163482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WARD President 208-455-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |