| NPI | 1730766098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T KEZELE Managing Partner 208-317-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-01-21 |