| NPI | 1255876819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE COURTNEY Owner/Physician 765-284-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |