| NPI | 1598736464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL SHEPPARD Owner 620-653-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2011-05-26 |