| NPI | 1356812242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W SIMPSON Member 866-653-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-10-06 |