| NPI | 1497723225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GILLENWATER President 620-792-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2025-09-11 |