| NPI | 1457658668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH W SCHEUERMANN Secretary/Treasurere 208-529-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-05-03 |