| NPI | 1306123336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUBERLY Member Manager 888-728-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2020-08-14 |