NPI | 1467111005 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN STABINSKI Owner 240-566-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2021-12-10 |
Last Update Date | 2021-12-10 |