NPI | 1669496337 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY J REILLY Authorized Official 605-217-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2006-07-27 |
Last Update Date | 2019-06-11 |