| NPI | 1689095465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL DABBS Owner 888-203-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2014-04-02 |