| NPI | 1336482447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L JACKSON President 412-937-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |