| NPI | 1114347929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART M. SHELLENBERGER Sole Member 480-818-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0851) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |