| NPI | 1174656367 |
|---|---|
| Doing Business As | E.A. CONWAY MEDICAL CENTER CRNAS |
| Entity Type | Organization |
| Authorized Contact | MELANIE H SOTAK Director Of Managed Care 318-675-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 129) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-07-27 |