| NPI | 1720039977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH CLAXTON CEO 574-522-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-11-06 |