| NPI | 1346480290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DETTWILLER CFO 740-592-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |