| NPI | 1396852695 |
|---|---|
| Doing Business As | CLAY COUNTY MEDICAL - CRNA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A REPPERT CFO 662-377-3978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 13-312) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-11-11 |