NPI | 1083962286 |
---|---|
Doing Business As | WRMC ANESTHESIA GROUP |
Entity Type | Organization |
Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207L00000X Anesthesiology |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2012-08-17 |
Last Update Date | 2024-05-02 |