| NPI | 1306105630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAY BURROFF Managing Member 501-227-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2016-11-29 |