| NPI | 1619031416 |
|---|---|
| Doing Business As | DEACONESS ANESTHESIA SERVICE - GATEWAY |
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-07-06 |