NPI | 1104331479 |
---|---|
Doing Business As | MED CENTER HEALTH ANESTHESIA |
Entity Type | Organization |
Authorized Contact | RONALD GENE SOWELL Exec. Vice President 270-745-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
363L00000X Nurse Practitioner | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2017-12-08 |
Last Update Date | 2020-01-21 |