| NPI | 1619274347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALLFORD MULLINIX President 307-856-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 22560.0355) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-06-02 |