| NPI | 1790238368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SIMPSON Member 866-653-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2021-10-06 |