| NPI | 1043712680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL MILLER Owner 720-837-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 990790) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-02-27 |