| NPI | 1558710624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ALLEN ROGERS Manager 812-216-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX ap110509) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |