| NPI | 1184265274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH TIOJANCO Corp. Secretary 402-212-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |