| NPI | 1780062588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS KEZELE President 208-852-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-366A) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |