| NPI | 1174870554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PRUITT Owner 720-810-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2015-05-18 |