| NPI | 1790711687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE ARNOLD Authorized Representative 812-886-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-12-28 |