| NPI | 1053508564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A MULLINIX Managing Group Member 307-856-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2009-11-25 |