| NPI | 1144538786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL RICHARDSON NOBACK Medical Director 888-337-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |