| NPI | 1043299910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J PRICE Assistant Administrator 417-882-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO R9D64) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 058813) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 063768) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-11-26 |