| NPI | 1073781167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ELDON PARK President 859-341-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-05-01 |