| NPI | 1144910498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN E. ANDERSON President 806-792-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |