| NPI | 1326514407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF TAYLOR Partner 208-716-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-17 |