| 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 |