| NPI | 1174513246 |
|---|---|
| Former Legal Business Name | WILLIAMS AND WAGNER PSC |
| Entity Type | Organization |
| Authorized Contact | JOHN E. HAAS President 502-473-2132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-03-13 |