| NPI | 1700189925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK STUART UTTER Owner 915-494-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2022-12-16 |