| NPI | 1225473069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI SMITH Billing Specialist 208-525-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N-26699) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |