| NPI | 1487814356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATTAS BOUTROUS Administrator 701-221-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R28938) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2019-10-24 |