| NPI | 1144070673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET R TESCH Office Manager 801-876-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |