| NPI | 1093022774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY SPALDING Office Manager 270-737-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |