| NPI | 1306068754 |
|---|---|
| Other Name | CRNA |
| Entity Type | Organization |
| Authorized Contact | VINCENT J MANDRACCHIA Chief Medical Officer 515-282-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 2785) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-09-30 |