NPI | 1679144000 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA KOZIOL Credentialing 480-376-6456 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |