| NPI | 1073047460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK SCOTT IMUS Sole Member 480-570-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0698) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |