| NPI | 1679582738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN LIST Manager 724-528-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2013-02-06 |