| NPI | 1801810585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD C JOHNSON President 605-242-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-09-07 |