| NPI | 1659705606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER GARDNER President/CEO 252-955-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 149935) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |