| NPI | 1639238439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS CHAD FUGATE President 208-525-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N-16877) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2011-02-15 |