NPI | 1275251456 |
---|---|
Former Legal Business Name | DREAMTIME ANESTHESIA |
Entity Type | Organization |
Authorized Contact | JOSHUA PAUL SPARTZ Owner/President 509-847-9835 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2022-08-15 |
Last Update Date | 2023-06-16 |