| NPI | 1295750487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCMILLEN President 719-276-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 45130) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |