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 |