| NPI | 1639568058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEITH PRESCOTT C RN A 918-850-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0205032) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |