| NPI | 1295008472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE POPELAR Practice Administrator 719-635-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2015-12-23 |