NPI | 1124058896 |
---|---|
Entity Type | Organization |
Authorized Contact | STACIA DECKER Office Manager 270-782-9994 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-01-27 |