| NPI | 1316991607 |
|---|---|
| Other Name | CRESTON MEDICAL CLINIC CRNAS |
| Entity Type | Organization |
| Authorized Contact | JAMES E MANSOUR President Of The Corporation 641-782-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |