| NPI | 1316724073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC E KOCH President 877-476-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-06-18 |