| NPI | 1093826513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MCCLELLAN Member 208-523-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-03-07 |