| NPI | 1659749257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MATTHEW LOETSCHER President 870-718-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR C002665) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2015-09-13 |