| NPI | 1821302068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A BOLEN Vice President & CFO 217-245-9541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2013-07-31 |