| NPI | 1578074993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERCER Owner 573-579-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN219398) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |