| NPI | 1063891000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP C BIRD Managing Member 405-217-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |