| NPI | 1407625247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MUSIC Director, Provider Enrollment 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-27 |