| NPI | 1811415599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA J BREWER Credentialing Manager 303-783-4908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2024-06-13 |