NPI | 1396031092 |
---|---|
Doing Business As | IVY CREEK ANESTHESIA |
Entity Type | Organization |
Authorized Contact | MIKE D BRUCE CEO 334-567-4311 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital |
Enumeration Date | 2011-06-22 |
Last Update Date | 2022-04-05 |