| NPI | 1407353428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN S. GRUNIG President 208-390-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RNA613A) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |