| NPI | 1548757420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SIKES CEO 225-923-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-02-02 |