NPI | 1205301587 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN G JACKSON CFO 870-541-7370 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2018-10-12 |
Last Update Date | 2018-10-12 |