| NPI | 1710794060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MILLER PHILIPS President 318-631-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |