| NPI | 1710499561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DUANE DEINDOERFER Owner 423-639-0941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-01-24 |