| NPI | 1316460595 |
|---|---|
| Former Legal Business Name | WILLIAMS AND WAGNER PSC |
| Entity Type | Organization |
| Authorized Contact | FRANCIS DUQUE Authorized Signer / Owner 502-690-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |