NPI | 1376021626 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM SIMPSON Member 866-653-2540 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2018-07-30 |
Last Update Date | 2021-10-06 |