| NPI | 1568050052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYCE B BARTHOLOMEW Owner/Manager 801-372-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |