| NPI | 1376713008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DEMKO Self Owner 208-255-8013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA491A) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2013-01-04 |