| NPI | 1326454422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GARRETT Owner 208-794-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY RNA462) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |