NPI | 1174997753 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL T KIMZEY Administrator/Authorized Official 405-602-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2015-11-19 |
Last Update Date | 2016-12-29 |