NPI | 1437162989 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN SLOT President 815-673-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2006-08-15 |
Last Update Date | 2007-10-29 |