| NPI | 1497392187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SIMPSON Member/Owner 866-653-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2021-10-13 |