| NPI | 1134749468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM LASSEN President 801-885-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |