| NPI | 1386112639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOWDY Administrator 662-327-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-05-25 |