| NPI | 1407323199 |
|---|---|
| Other Name | DIVERSIFIED PROFESSIONALS INC |
| Entity Type | Organization |
| Authorized Contact | SCOTT PATRICK GARDINER Owner 225-923-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |