| NPI | 1578593752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D LONG Office Manager 308-236-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-04-20 |