NPI | 1538234232 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN R WOLD CEO 712-423-2311 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner, Family | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2024-07-24 |