| NPI | 1447625702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LOREN ALLEN C RN A 406-459-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 24629) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |