| NPI | 1508854712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MORRIS President 304-276-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-03-21 |