NPI | 1033974530 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA BLACKWELL Administrator 253-442-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2024-02-14 |
Last Update Date | 2024-02-14 |