NPI | 1174546097 |
---|---|
Doing Business As | WILLIS KNIGHTON ANESTHESIA SERVICES |
Entity Type | Organization |
Authorized Contact | STACY H ALEXANDER Controller 318-212-4877 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2012-11-08 |