| NPI | 1649644212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN JEFFERY FOLLIS President 208-406-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00176061) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-01-29 |