NPI | 1053596585 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDY K COVERT Business Office Director 870-892-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR AR4266) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: AR AR4266) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AR AR4266) | |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |