NPI | 1124567706 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF PERRY Manager 502-418-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2017-02-16 |
Last Update Date | 2024-04-10 |