| NPI | 1659830412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY HAMRICK Owner 325-518-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-06-11 |